A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?

Choice A reason: Woolen clothes can irritate eczema-prone skin, exacerbating inflammation and itching due to their rough texture. Eczema involves a defective skin barrier, and irritants like wool trigger flares, increasing discomfort and risking secondary infections from scratching, making this advice harmful. Choice B reason: Fabric softeners contain fragrances and chemicals that can irritate eczema, worsening skin inflammation. Eczema requires hypoallergenic, fragrance-free detergents to minimize skin reactions, as the compromised skin barrier is highly sensitive to chemical irritants, leading to increased itching and flares. Choice C reason: Topical corticosteroids reduce inflammation, redness, and itching in eczema by suppressing immune-mediated skin reactions. They restore the skin barrier, prevent flares, and reduce the risk of infection from scratching. Proper application under medical guidance is a cornerstone of eczema management in children. Choice D reason: Bubble baths, with soaps and fragrances, strip natural oils from eczema-prone skin, worsening dryness and irritation. Daily baths should use gentle, fragrance-free cleansers to maintain skin hydration, as irritants exacerbate the defective skin barrier, leading to increased inflammation and discomfort.